MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578763389

MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials C-FNP, PMHNP-BC. They hold a License No. 219823-4405 / 8900 (UT). The NPI Number for MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) is 1578763389

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC)
NPI
1578763389
Phone
(801) 536-3517
Address
FAIRFAX @ VIRGINIA STREET
Enumeration Date
19 July 2007
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015073472
Graduation Year
2003 (23 years ago)
PAC ID
2163646837
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20140619001503
Address ID
UT841076769MU5169XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC)

  • FAIRFAX @ VIRGINIA STREET

    SALT LAKE CITY, UT 84103

    Phone: (801) 536-3517

    Fax: (801) 536-3549

    Type: Mailing

  • 678 E Vine St Ste 11

    Murray, UT 841075500

    Phone: (801) 618-1213

    Type: Location

  • 678 E VINE ST

    SALT LAKE CITY, UT 841075546

    Phone: (016) 181-2138

    Fax: (801) 507-0360

    Type: Mailing

  • 5121 S COTTONWOOD ST

    MURRAY, UT 841075701

    Phone: (801) 507-3951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140619001503INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2414$0
View full utilization report →

Insurance plans in this area (ZIP 84103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) using NPI 1578763389?
NPI 1578763389 belongs to MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC); compare other details if you need extra assurance.
Would MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) appear as active to a payer?
You can treat MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC)?
MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC)?
Directory geography for MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) centers on Salt Lake City, Utah.
When was this NPI issued?
Enumeration for MS. SUSANA AUHANGAMEA KINIKINI (C-FNP, PMHNP-BC) is noted as July 19, 2007 where the registry provides it.

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